Implementing Active Management of the Third Stage of Labor

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12 Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor
Appendix C: AMTSL job aid Active Management of the Third Stage of Labor (AMTSL) Offer to every woman… mother 1: Dry the baby, assess the baby’s breathing and perform resuscitation if needed, and place the baby in skin-toskin contact with the 2: Administer a uterotonic (the uterotonic of choice is oxytocin 10 IU IM) immediately after birth of the baby, and after ruling out the presence of another baby. 3: Clamp and cut the cord after cord pulsations have ceased or approximately 2- 3 minutes after birth of the baby, whichever comes first. 4: Place the infant directly on the mother’s chest, prone, with the newborn’s skin touching the mother’s skin. Cover the baby’s head with a cap or cloth. 5: Perform controlled cord traction while, at the same time, supporting the uterus by applying external pressure on the uterus in an upward direction towards the woman’s head. 6. Massage the uterus immediately after delivery of the placenta and membranes until it is firm. During recovery, assist the woman to breastfeed if this is her choice, monitor the newborn and woman closely, palpate the uterus through the abdomen every 15 minutes for two hours to make sure it is firm and monitor the amount of vaginal bleeding. Provide PMTCT care as needed. …at every birth, by every skilled provider.
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Page 3 and 4: Reference manual Appendix A: FIGO/I
Page 5 and 6: Reference manual Never apply cord t
Page 7 and 8: Reference manual Address legisl
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Implementing Active Management of the Third Stage of Labor

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